Department of Education Science, University of Genoa, 16128, Italy.
Valorizzazione Innovazione Empowerment s.r.l., Spinoff of the University of Genoa, 16129, Italy.
Int J Environ Res Public Health. 2018 Mar 3;15(3):439. doi: 10.3390/ijerph15030439.
Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room. The observational tool was then adopted in a two-days seminar on obstetric hemorrhage where teams working in obstetric wards of six Italian hospitals took part in simulations. The tool was used as a guide for the debriefing and as a peer-to-peer feedback. It was then rated for its usefulness in facilitating the reflection upon one's own behavior, its ease of use, and its usefulness for the peer-to-peer feedback. The ratings were positive, with a median of 4 on a 5-point scale. The CRM observational tool has therefore been well-received and presents a promising level of inter-rater agreement. We believe the tool could have value in facilitating debriefing and in the peer-to-peer feedback.
人为因素是导致产科不良事件的最相关问题。危机资源管理（CRM）技能的专项培训（即解决问题和团队管理、资源分配、对环境的认识以及动态决策制定）现在已经很普遍，并且通常基于高保真模拟。为了将 CRM 技能应用于模拟场景中，需要将其映射到特定的、可观察的行为标记上。为此，我们开发了一套与产房 CRM 主要元素相关的可观察行为。该观察工具随后被用于为期两天的产科出血研讨会，来自意大利六家医院产科病房的团队参与了模拟。该工具被用作辅导和同行反馈的指南。然后，对其在促进对自身行为的反思、易用性以及在同行反馈方面的有用性方面进行了评估。评估结果为正面，五分制中位数为 4 分。因此，CRM 观察工具受到了好评，并且具有较高的评分者间一致性。我们认为该工具在辅导和同行反馈方面具有一定的价值。
